lp.pbahealth.com
Open in
urlscan Pro
192.28.150.236
Public Scan
Submitted URL: http://go.pbahealth.com/ODY0LUZCRC0wNTEAAAGFm8VRuLroOSdN51WbZi9o0_troLk4sca6emCct1xS9dcd2aiQCvLEnrBKQSNGqxdlmAnP2VY=
Effective URL: http://lp.pbahealth.com/ProfitGuard_LeadGenerator.html?mkt_tok=ODY0LUZCRC0wNTEAAAGFm8VRuB2u60tAQDon1l1HZ-nvRvo6GZ80ijhI3...
Submission: On July 19 via manual from US — Scanned from DE
Effective URL: http://lp.pbahealth.com/ProfitGuard_LeadGenerator.html?mkt_tok=ODY0LUZCRC0wNTEAAAGFm8VRuB2u60tAQDon1l1HZ-nvRvo6GZ80ijhI3...
Submission: On July 19 via manual from US — Scanned from DE
Form analysis 3 forms found in the DOM
<form class="mktoForm mktoHasWidth mktoLayoutLeft" id="mktoForm_1440" novalidate="novalidate" style="font-family: Helvetica, Arial, sans-serif; font-size: 13px; color: rgb(51, 51, 51); width: 383px;">
<style type="text/css">
.mktoForm .mktoButtonWrap.mktoBluePill .mktoButton {
background-color: #a5b8da;
background-image: -webkit-gradient(linear, left top, left bottom, color-stop(0%, #a5b8da), color-stop(100%, #7089b3));
background-image: -webkit-linear-gradient(top, #a5b8da, #7089b3);
background-image: -moz-linear-gradient(top, #a5b8da, #7089b3);
background-image: -ms-linear-gradient(top, #a5b8da, #7089b3);
background-image: -o-linear-gradient(top, #a5b8da, #7089b3);
background-image: linear-gradient(to bottom, #a5b8da, #7089b3);
border-top: 1px solid #758fba;
border-right: 1px solid #6c84ab;
border-bottom: 1px solid #5c6f91;
border-left: 1px solid #6c84ab;
border-radius: 18px;
-webkit-box-shadow: inset 0 1px 0 0 #aec3e5;
box-shadow: inset 0 1px 0 0 #aec3e5;
color: #fff;
font: bold 11px/1 "Lucida Grande", "Lucida Sans Unicode", "Lucida Sans", Geneva, Verdana, sans-serif;
padding: 8px 0;
text-align: center;
text-shadow: 0 -1px 1px #64799e;
text-transform: uppercase;
width: 150px;
}
.mktoForm .mktoButtonWrap.mktoBluePill .mktoButton:hover {
background-color: #9badcc;
background-image: -webkit-gradient(linear, left top, left bottom, color-stop(0%, #9badcc), color-stop(100%, #687fa6));
background-image: -webkit-linear-gradient(top, #9badcc, #687fa6);
background-image: -moz-linear-gradient(top, #9badcc, #687fa6);
background-image: -ms-linear-gradient(top, #9badcc, #687fa6);
background-image: -o-linear-gradient(top, #9badcc, #687fa6);
background-image: linear-gradient(to bottom, #9badcc, #687fa6);
border-top: 1px solid #6d86ad;
border-right: 1px solid #647a9e;
border-bottom: 1px solid #546685;
border-left: 1px solid #647a9e;
-webkit-box-shadow: inset 0 1px 0 0 #a5b9d9;
box-shadow: inset 0 1px 0 0 #a5b9d9;
cursor: pointer;
}
.mktoForm .mktoButtonWrap.mktoBluePill .mktoButton:active {
border: 1px solid #546685;
-webkit-box-shadow: inset 0 0 8px 2px #7e8da6, 0 1px 0 0 #eeeeee;
box-shadow: inset 0 0 8px 2px #7e8da6, 0 1px 0 0 #eeeeee;
}
.mktoForm .mktoButtonWrap.mktoBluePill button.mktoButton {
background: #000000;
}
</style>
<div class="mktoFormRow">
<div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
<div class="mktoOffset" style="width: 10px;"></div>
<div class="mktoFieldWrap mktoRequiredField"><label for="FirstName" id="LblFirstName" class="mktoLabel mktoHasWidth" style="width: 107px;">
<div class="mktoAsterix">*</div>First Name:
</label>
<div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><input id="FirstName" name="FirstName" maxlength="255" aria-labelledby="LblFirstName InstructFirstName" type="text" class="mktoField mktoTextField mktoHasWidth mktoRequired"
aria-required="true" style="width: 255px;"><span id="InstructFirstName" tabindex="-1" class="mktoInstruction"></span>
<div class="mktoClear"></div>
</div>
<div class="mktoClear"></div>
</div>
<div class="mktoClear"></div>
</div>
<div class="mktoFormRow">
<div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
<div class="mktoOffset" style="width: 10px;"></div>
<div class="mktoFieldWrap mktoRequiredField"><label for="LastName" id="LblLastName" class="mktoLabel mktoHasWidth" style="width: 107px;">
<div class="mktoAsterix">*</div>Last Name:
</label>
<div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><input id="LastName" name="LastName" maxlength="255" aria-labelledby="LblLastName InstructLastName" type="text" class="mktoField mktoTextField mktoHasWidth mktoRequired"
aria-required="true" style="width: 255px;"><span id="InstructLastName" tabindex="-1" class="mktoInstruction"></span>
<div class="mktoClear"></div>
</div>
<div class="mktoClear"></div>
</div>
<div class="mktoClear"></div>
</div>
<div class="mktoFormRow">
<div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
<div class="mktoOffset" style="width: 10px;"></div>
<div class="mktoFieldWrap mktoRequiredField"><label for="Company" id="LblCompany" class="mktoLabel mktoHasWidth" style="width: 107px;">
<div class="mktoAsterix">*</div>Pharmacy:
</label>
<div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><input id="Company" name="Company" maxlength="255" aria-labelledby="LblCompany InstructCompany" type="text" class="mktoField mktoTextField mktoHasWidth mktoRequired"
aria-required="true" style="width: 255px;"><span id="InstructCompany" tabindex="-1" class="mktoInstruction"></span>
<div class="mktoClear"></div>
</div>
<div class="mktoClear"></div>
</div>
<div class="mktoClear"></div>
</div>
<div class="mktoFormRow">
<div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
<div class="mktoOffset" style="width: 10px;"></div>
<div class="mktoFieldWrap mktoRequiredField"><label for="customerID" id="LblcustomerID" class="mktoLabel mktoHasWidth" style="width: 107px;">
<div class="mktoAsterix">*</div>NCPDP:
</label>
<div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><input id="customerID" name="customerID" maxlength="255" aria-labelledby="LblcustomerID InstructcustomerID" type="text" class="mktoField mktoTextField mktoHasWidth mktoRequired"
aria-required="true" style="width: 255px;"><span id="InstructcustomerID" tabindex="-1" class="mktoInstruction"></span>
<div class="mktoClear"></div>
</div>
<div class="mktoClear"></div>
</div>
<div class="mktoClear"></div>
</div>
<div class="mktoFormRow">
<div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
<div class="mktoOffset" style="width: 10px;"></div>
<div class="mktoFieldWrap mktoRequiredField"><label for="Email" id="LblEmail" class="mktoLabel mktoHasWidth" style="width: 107px;">
<div class="mktoAsterix">*</div>Email Address:
</label>
<div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><input id="Email" name="Email" maxlength="255" aria-labelledby="LblEmail InstructEmail" type="email" class="mktoField mktoEmailField mktoHasWidth mktoRequired"
aria-required="true" style="width: 255px;"><span id="InstructEmail" tabindex="-1" class="mktoInstruction"></span>
<div class="mktoClear"></div>
</div>
<div class="mktoClear"></div>
</div>
<div class="mktoClear"></div>
</div>
<div class="mktoFormRow">
<div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
<div class="mktoOffset" style="width: 10px;"></div>
<div class="mktoFieldWrap mktoRequiredField"><label for="Phone" id="LblPhone" class="mktoLabel mktoHasWidth" style="width: 107px;">
<div class="mktoAsterix">*</div>Phone Number:
</label>
<div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><input id="Phone" name="Phone" maxlength="255" aria-labelledby="LblPhone InstructPhone" type="tel" class="mktoField mktoTelField mktoHasWidth mktoRequired" aria-required="true"
style="width: 255px;"><span id="InstructPhone" tabindex="-1" class="mktoInstruction"></span>
<div class="mktoClear"></div>
</div>
<div class="mktoClear"></div>
</div>
<div class="mktoClear"></div>
</div>
<div class="mktoButtonRow"><span class="mktoButtonWrap mktoBluePill" style="margin-left: 120px;"><button type="submit" class="mktoButton">SUBMIT</button></span></div><input type="hidden" name="formid" class="mktoField mktoFieldDescriptor"
value="1440"><input type="hidden" name="lpId" class="mktoField mktoFieldDescriptor" value="1871"><input type="hidden" name="subId" class="mktoField mktoFieldDescriptor" value="159"><input type="hidden" name="munchkinId"
class="mktoField mktoFieldDescriptor" value="864-FBD-051"><input type="hidden" name="lpurl" class="mktoField mktoFieldDescriptor" value="//lp.pbahealth.com/ProfitGuard_LeadGenerator.html?cr={creative}&kw={keyword}"><input type="hidden"
name="cr" class="mktoField mktoFieldDescriptor" value=""><input type="hidden" name="kw" class="mktoField mktoFieldDescriptor" value=""><input type="hidden" name="q" class="mktoField mktoFieldDescriptor" value="">
</form>POST /index.php/leadCapture/save3
<form class="mktoForm mktoNoJS" action="/index.php/leadCapture/save3" method="post">
<div class="mktoFormRow">
<div class="mktoFormCol">
<label class="mktoLabel" for="FirstName"> First Name: </label>
<input type="text" class="mktoField mktoTextField" name="FirstName" id="FirstName">
</div>
</div>
<div class="mktoFormRow">
<div class="mktoFormCol">
<label class="mktoLabel" for="LastName"> Last Name: </label>
<input type="text" class="mktoField mktoTextField" name="LastName" id="LastName">
</div>
</div>
<div class="mktoFormRow">
<div class="mktoFormCol">
<label class="mktoLabel" for="Company"> Pharmacy: </label>
<input type="text" class="mktoField mktoTextField" name="Company" id="Company">
</div>
</div>
<div class="mktoFormRow">
<div class="mktoFormCol">
<label class="mktoLabel" for="customerID"> NCPDP: </label>
<input type="text" class="mktoField mktoTextField" name="customerID" id="customerID">
</div>
</div>
<div class="mktoFormRow">
<div class="mktoFormCol">
<label class="mktoLabel" for="Email"> Email Address: </label>
<input type="text" class="mktoField mktoTextField" name="Email" id="Email">
</div>
</div>
<div class="mktoFormRow">
<div class="mktoFormCol">
<label class="mktoLabel" for="Phone"> Phone Number: </label>
<input type="text" class="mktoField mktoTextField" name="Phone" id="Phone">
</div>
</div>
<span style="display:none;"><input type="text" name="_marketo_comments" value=""></span>
<span class="mktoButtonWrap"><button type="submit" class="mktoButton">Submit</button></span>
<input type="hidden" name="lpId" value="1871">
<input type="hidden" name="subId" value="159">
<input type="hidden" name="lpurl" value="//lp.pbahealth.com/ProfitGuard_LeadGenerator.html?cr={creative}&kw={keyword}">
<input type="hidden" name="formid" value="1440">
<input type="hidden" name="formVid" value="1440">
<input type="hidden" name="ret" value="">
<input type="hidden" name="munchkinId" value="864-FBD-051">
<input type="hidden" name="kw" value="">
<input type="hidden" name="cr" value="">
<input type="hidden" name="searchstr" value="">
<input type="hidden" name="_mkt_disp" value="return">
<input type="hidden" name="_mkt_trk" value="">
</form><form class="mktoForm mktoHasWidth mktoLayoutLeft" novalidate="novalidate" style="font-family: Helvetica, Arial, sans-serif; font-size: 13px; color: rgb(51, 51, 51); visibility: hidden; position: absolute; top: -500px; left: -1000px; width: 1600px;">
</form>Text Content
VISIT US CONGRATULATIONS! You’ve taken a step toward finding new solutions. RESPONSIVE DESIGN -------------------------------------------------------------------------------- Contrary to popular belief, Lorem Ipsum is not simply random text. It has roots in a piece of classical Latin literature from 45 BC. DETAILED DOCUMENTATION -------------------------------------------------------------------------------- Contrary to popular belief, Lorem Ipsum is not simply random text. It has roots in a piece of classical Latin literature from 45 BC. WORKING FORMS -------------------------------------------------------------------------------- Contrary to popular belief, Lorem Ipsum is not simply random text. It has roots in a piece of classical Latin literature from 45 BC. Rob Anderson -------------------------------------------------------------------------------- IS LOREM IPSUM REALLY IMPORTANT? LOREM IPSUM IS SIMPLY DUMMY TEXT OF THE PRINTING AND TYPESETTING INDUSTRY. -------------------------------------------------------------------------------- Dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since, when an unknown ristique senectus et netus. Mellentesque habitant morbi tristique senectus et netus et malesuada famesac turpis egestas. Ut non enim eleifend felis pretium feugiat. There are many variations of passages of Lorem Ipsum available, but the majority have suffered alteration in some form, by injected humour, or randomised words which don't look even slightly believable. THE CREATORS -------------------------------------------------------------------------------- Rob Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. Mia Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. THE LANDING SUMO BUNDLE -------------------------------------------------------------------------------- Lorem Ipsum is simply dummy text of the printing and typesetting industry. * First Name: * Last Name: * Pharmacy: * NCPDP: * Email Address: * Phone Number: SUBMIT First Name: Last Name: Pharmacy: NCPDP: Email Address: Phone Number: Submit ADDRESS ___________ 6300 ENTERPRISE ROAD KANSAS CITY, MISSOURI 64120 CONTACT US ___________ PROFITGUARD@PBAHEALTH.COM PHONE: 816-245-5700 TOLL FREE: 800-333-8097 FAX: 816-245-5702 ABOUT US ___________ PBA HEALTH IS DEDICATED TO CHAMPIONING INDEPENDENT PHARMACIES AND REGIONAL CHAINS THROUGHOUT THE COUNTRY BY PROTECTING FINANCIAL PERFORMANCE AND BOOSTING PROFITABILITY. PROFITGUARD IS A COMPREHENSIVE PURCHASING SOLUTION THAT MANAGES AND MONITORS YOUR PRIMARY WHOLESALER CONTRACT PERFORMANCE FROM DAY ONE TO THE DAY IT EXPIRES.